11D2185011 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #076)

Laboratory Demographics

  • CLIA Code: 11D2185011
  • Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #076)
  • Facility Address: 879 JOE FRANK HARRIS PARKWAY
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 770 382-8226
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CAROLINE CECKA
  • NPI Number: 1104115203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2185011
LAB Type Mobile Laboratory
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #076)
Street 879 JOE FRANK HARRIS PARKWAY
City CARTERSVILLE
State GA
ZIP 30120
Phone 770 382-8226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Mobile Laboratory
Lab Director CAROLINE CECKA

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This page was last updated on: 9/29/2025